	AMERICAN INSTITUTE OF FORENSIC EDUCATION COURSE REGISTRATION * All fields are required, N/A where applicable
	AIFE is an approved continuing education provider by the State of California.

Course SS-0014:*

CHAIN OF CUSTODY FOR NON-HEALTHCARE PROFESSIONALS
Date:*
First Name:*
Middle Name/Initial:*
Last Name:*
Credentials:*
Mailing Address:*
City:*
State:*
Zip/ Postal Code:*
Country:*
Primary Phone:*
Cell Phone:*
Fax:*
E-mail Address:*
Gender:*

Male Female
Date of Birth:*
Month Day Year
Employment Position:*
License#:*
Highest Level of Education:*

High School Diploma/GED Associate's Degree Bachelor's Degree Master's Degree Doctorate
Are you a Student?*

Yes No
Where?*
Forensic Specialty:*
Other:*